Nipple Reduction with a Pentahedral Excision Technique.
	    		
		   		
	    	
    	
    	
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yoon Gi HONG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Hyung Bo SIM
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Baram Clinic BBC, Seoul, Korea. 123sim@hanafos.com
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Nipple;
			        		
			        		
			        		
				        		Nipple reduction;
			        		
			        		
			        		
				        		Pentahedral excision
			        		
			        		
	        			
        			
        		
 
        	
            
            	- MeSH:
            	
	        			
	        				
	        				
				        		
					        		Cicatrix;
				        		
			        		
				        		
					        		Female;
				        		
			        		
				        		
					        		Follow-Up Studies;
				        		
			        		
				        		
					        		Humans;
				        		
			        		
				        		
					        		Imidazoles;
				        		
			        		
				        		
					        		Male;
				        		
			        		
				        		
					        		Nipples;
				        		
			        		
				        		
					        		Nitro Compounds;
				        		
			        		
				        		
					        		Nylons;
				        		
			        		
				        		
					        		Sutures;
				        		
			        		
				        		
					        		Traction
				        		
			        		
	        			
	        			
            	
            	
 
            
            
            	- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
	            		
	            		 2009;36(3):327-332
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:Korean
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	PURPOSE: Several methods of the nipple reduction have been reported. However, the methods described previously are difficult or have some demerits. This study proposes a simple technique for reduction of the nipple height as well as diameter. METHODS: The purposed nipple height is marked. A pentahedral design of excision was marked around thenipple. Local anesthetic solution was infiltrated and a 4- 0 Nylon traction suture was applied at the nipple apex. Excision of the nipple inside both two triangles and a rectangle was made. Remaining two flaps were approximated using 5-0 Nylon simple interrupted sutures. However, a part of wound closure was not done in the central area of the nipple. RESULTS: Eighty-three patients (166 nipples) underwent this procedure from December 1999 to December 2008. Follow-up period ranged from 6 months to 2 years with a mean of 10 months. Seventy-eight patients were female and 5 patients were male. No major complications occurred and remaining scars were very inconspicuous. CONCLUSION: This simple technique has the advantage of nipple reduction in both height and diameter, and provides good aesthetic outcomes.